309 Ahern St ERES19-0270 New Service ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
` CITY OF ATLANTIC BEACH ERES19-0270
ISSUED: 9/23/2019
800 SEMINOLE ROAD
19 ATLANTIC BEACH. FL 32233 EXPIRES: 3/21/2020
MUST CALL INSPECTION • • • 1 i PM FORDAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • ' ! BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property
that may be found in the public records of this county, and there may be additional permits required from other
governmental entities such as water management districts, state agencies, or federal agencies.
R PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
JOB ADD ESS.
309 AHERN ST ELECTRICAL RESIDENTIAL NEW SERVICE - 200 AMPS, $1500.00
240 VOLT, SINGLE PHASE
TYPE OF •
ZONING: : ! •
• • GROUP:
COMPANY: D
MILLENNIUM ELECTRICAL 6661 SOUTHPOINT PARKWAY JACKSONVILLE FL 32216
CONTRACTORS LLC
• ADDRESS:
AHERN TH PROJECT LLC 830 13 A1A N 4120 PONTE VEDRA FL 32082
BEACH
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC NEW SINGLE FAMILY 455-0000-322-1000 200 $70.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $S5.00
STATE DBPR SURCHARGE 45S-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date: 9/23/2019 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
s, ERES19-0270
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ISSUED: 9/23/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 3/21/2020_
[ TOTAL: $129.00
Issued Date: 9/23/2019 2 of 2
Electrical Permit Application **ALL INFORMATIONHIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
s
800 Seminole Rd, Atlantic Beach, FL 32233 C� --
x `lt Phone: (904) 247-5826 Email: .Builc1ing-Dept@coab.us PERMIT#: d Z-7 y
JOB ADDRESS: 309 Ahern PROJECT VALUE $$ 1,500.00
JEA INFORMATION REQUIRED ON ALL PERMITS: AMPS Z41) VOLTS�_PHASE
❑ NEW SERVICE: El Overhead El Underground []Underground up Pole
[311esidential (Main)Service:
❑0-100 amps [3101-150amps 0151-200amps [ amps #of Meters
❑Commercial (Main)Service:
❑0-100 amps [3101-150amps 11151-200amps ❑ amps [3CT Service amps
Conductor Type Size
E]Multi-Family(Main)Service:
❑0-100 amps [3101-150amps [1151-200amps []_amps #of Unit Meters
❑TEMPORARY POLE: amps
SERVICE UPGRADE: ❑ amps ❑CT Service amps
❑ NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES, ETC.):
❑100 amps ❑150amps ❑200amps ❑ amps []CT Service amps
❑ ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
❑ OTHER ELECTRICAL PROJECTS:
[]Swimming Pool❑Sign []Smoke Detectors (Qty) ❑Transformers KVA ❑Motors HP
❑ FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
❑ REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection OPanel Change ❑OH to UG
Updated 10/17/18
❑Jther:
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have
read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction.
Owner Name: Ahern TH Project LLC Phone Number: 219-5003
Electrical Company: Millennium Electrical Office Phone: 219-5003 Fax:
Co.Address: 3948 3rd Street South City. Jax Beach State: FI Zip: 32250
License Holder: Millennium Electrical Cont LL State Cert ' ion/Registration#: EC13001449
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me thisZrday of i State of Florida,County of
An,wA-fte,rn.de Signature of Notary Public;"-
A,/-Nobly Pubft
&alt of Florid
>Vf0m OssionExpiro�oUf ON [ ] Personally Known OR ] rodu d Identification
QonumsionNo.c4GM454 Type of Identification: Fl L--